
I read the email multiple times before it finally registered. I had been offered my ideal position as a researcher focusing on employment and disabilities at a leading university. I decided to accept the offer.
However, there was a caveat — a $101,000 caveat.
Let me explain. In 2013, my father passed away. Because I have a significant physical disability, I started receiving a monthly Disabled Adult Child payment based on my father’s Social Security contributions. When I spoke with a Social Security representative, I was told I would receive those payments for the rest of my life.
After finishing my doctorate in sociology, I started contemplating the shape of my future adulthood. As I looked into various job opportunities, I recognized that I had to discover a method for maintaining Medicaid coverage even when employed. Like many other working individuals with disabilities, this was something crucial for me. utilize Medicaid to cover basic needs Many private insurance providers do not cover such needs. For instance, because of my disability, I require round-the-clock care every day of the week. This involves help with tasks like eating and getting dressed.
I am unable to cover these costs alone—as most individuals also find difficult—so I rely on Medicaid waivers to fund my personal care attendants. Initially, I believed the financial strategy suggested by the specialists advising me was sound. While specifics differ from one state to another, Medicaid typically restricts the amount of money an individual can keep in their savings account. . Certain exceptions are allowed — these exceptions are necessary to save for significant purchases — and the exception recommended for me was to put all my earned income into a trust to fund my many disability-related expenses, since Medicaid does not cover all of them.
I eventually embraced the adult life I had created for myself and dove headfirst into my job at Cornell University, focusing on investigating the challenges faced by individuals with disabilities when they attempt to secure and keep jobs. Following advice, I directed all of my income towards my trust fund and relied on my monthly Disabled Adult Child benefit to pay for necessities such as food and basic supplies. Although this arrangement wasn’t perfect—after all, who chooses to forfeit control over their salary at age 30? —it allowed me to get the Medicaid support I required while still being self-sufficient.
Last year everything shifted when Social Security unexpectedly halted my monthly Disabled Adult Child benefit and informed me they claimed an overpayment of $101,000. Currently, I struggle to cover basic everyday costs, let alone such substantial reimbursement.
When investigating why I lost access, I discovered that my situation is not at all uncommon. Actually, Social Security disadvantages tens of thousands of disabled workers. Each year by insisting they owe a debt that wasn't of their own creation.
The federal government has both the ability and the duty to address this issue.
The regulations set forth by Social Security provide limited choices for individuals with disabilities. The simplest route is to remain at home, receive a benefits cheque, and obtain specific aid from the government aimed at supporting those with disabilities. On the other hand, for those looking to work, engaging in employment frequently involves certain drawbacks.
The Social Security Administration often attributes overpayments to the mistakes made by disabled workers not adhering to regulations. However, their convoluted communication methods and outdated policies set up a complex situation where even individuals well-versed in these matters can find themselves ensnared.
For instance, remember when I was informed that my benefits would last throughout my lifetime? However, it appears that this doesn’t apply to Social Security disability benefits similar to mine. should only compensate individuals whose earned income falls beneath a specific threshold. (typically $1,550 per month in 2024), which is below the full-time minimum wage in many states. Additionally, the complicated guidelines for moving off these benefits often lead to people struggling.
In fact, 71 percent Of those receiving benefits under the Social Security Disability Insurance program, individuals earning more than a specified threshold often get overpayment notifications, as highlighted in a report by Mathematica Policy Research. The 2022 report from the Office of the Inspector General The Social Security Administration estimates that it issued overpayments totaling more than $6 billion in 2021 and has $21.6 billion in outstanding overpayment debts yet to be recovered.
Similar to everyone else, individuals with disabilities ought to have the choice to pursue employment and achieve financial independence. The federal government, via legislation such as the Americans with Disabilities Act, Has committed to aiding individuals with disabilities in securing meaningful employment, yet it still imposes penalties ondisabled workers who take advantage of these offers.
If the federal government aims to encourage employment among individuals with disabilities, it needs to act decisively. Initially, Congress should halt the recovery of these excessive payments without delay. Secondly, regulatory reforms are necessary to remove all limitations related to income and assets, ensuring such constraints affect only those within the highest five percentile of earnings. Lastly, Social Security ought to revise its guidelines to support disabled workers instead of imposing penalties upon them.
While these changes won’t eliminate all the barriers that people with disabilities face in the labor market, they will at least remove Social Security’s price tag on work.
Jennifer Brooks serves as a research associate at the Cornell University ILR School’s Yang-Tan Institute on Employment and Disability.
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